BRAD M FORQUER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

BRAD M

Last Name

FORQUER

Business Name

BRAD M FORQUER

Original Issue Date

09/09/1985

Effective Date

09/09/1985

Expiration Date

01/31/1987

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006